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See a sample rate comparisonCPT 87808 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Test For Vaginal Infection, This Test Helps To Determine The Specific Cause Of Vaginitis And May Be Performed After Negative Testing For Yeasts Or Trichomonas.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 20 - Urgent Care Facility 11 - Office |
| Common Modifiers | None QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87808 |
| Medicaid Fee Schedule | View Medicaid rates for 87808 |
National average reimbursement for CPT 87808 by major payers:
$12.84
$9.71
$15.51
$46.85
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CPT 87808
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$33.64Published rateChristopher Raio
St Joseph Hospital
$20.18Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$15.29Published rateChristopher Raio
St Joseph Hospital
$11.98Published rateBrittany Ptachick
Hroa 401k Plan
$6.42Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87808 vs. Other Microbiology Procedures Codes
The CPT 87808 code is part of the Pathology and Laboratory Procedures services used for Microbiology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 87808 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 87803-CPT | Low | Test For Intestinal Infection, The Test Detects Toxins Produced By Clostridium Difficile Bacteria Which Causes Diarrhea And Usually Results From Antibiotic Use. |
| 87806-CPT | Low | Hiv Ag W Hiv1 2 Antb W Optic, Infectious Agent Antigen Detection By Immunoassay With Direct Optical Ie Visual Observation Hiv 1 Antigen S With Hiv 1 And Hiv 2 Antibodies |
| 87808-CPT | Low | Test For Vaginal Infection, This Test Helps To Determine The Specific Cause Of Vaginitis And May Be Performed After Negative Testing For Yeasts Or Trichomonas. |
| 87809-CPT | Low | Test For Adenovirus Infection, The Test Detects Adenovirus A Lung Infection. The Virus Causes Lymph Nodes At The Back Of The Throat To Become Enlarged Which Can Make Breathing Difficult. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87808. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87808 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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